Finding #9
Nurses might find it difficult to communicate effectively with colleagues in stand‐alone practices or vertical programmes of care.
Assessment for each CERQual component
Methodological limitations	Mild concerns because 1/6 studies did not report data analysis and sampling and reflexivity; 3 other studies did not report reflexivity.
Coherence	No or very minor concern.
Relevance	Minor concerns because data were from only 4 regions.
Adequacy	Minor concerns due to few data.
Overall CERQual assessment
Moderate confidence	Due to moderate concerns about methodological limitations; and minor concerns about relevance and adequacy.
Contributing studies/setting
Sub‐Saharan Africa (1); Middle East and North Africa (1); Oceania (2); North America (1) Basaleem 2011: Yemen, primary care Broyles 2012: USA, alcohol screening Flowers 2008: Australia, child health nursing Rustagi 2015a: Mozambique, N/A Walker 2015: New Zealand, general practice